Pleasant View Family Support Group Interest Survey 2022

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Pleasant View Family Support Group Interest Survey 2022

Welcome to the Pleasant View Family Support Group Interest Survey! We are committed to providing residents and their families with the best support possible. This survey aims to gather valuable feedback regarding your interest in joining a support group.

Your responses will help us understand your preferences about meeting schedules, topics of discussion, and more. Together, we can foster a supportive community for families of residents.

  • Share your contact information
  • Rate your interest in attending
  • Choose your preferred meeting days and topics
8 Questions2 MinutesCreated by CaringHeart203
Resident Name
Resident Room Number
Name of person filling out form
Phone number and email address of person filling out form
On a scale from 1 (lowest)-10 (highest), how likely would you be to attend a support group if offered at Pleasant View with family members of other current residents?
1
2
3
4
5
6
7
8
9
10
What day(s) would be best for meeting to occur?
Monday
Tuesday
Wednesday
Thursday
Friday
Any of the above options
What time frame(s) would be your preference for a meeting?
Monthly
Every other month
Either of the above options
Other (please specify)
What are some topic(s) you would want to be discussed at the meetings? (Choose up to 3-5 as able)
Depression/mental health in older adults
Different types of dementia and other common neurocognitive disorders
Advanced directives, living wills, POA, and differences in code status (DNR vs full code)
Community Resources
Coping with guilt of nursing home placements for your loved ones
Role of long-term care ombudsman
Differences in the levels of care at Pleasant View
Grief
What is hospice and when is it "the right time"
Self care
Caregiver stress and burnout
Changes in sensory perception as one ages
Medicare A coverage in SNF setting
Applying for Medical Assistance (Medicaid)
Managing difficult dynamics amongst other family members
Learning the different members of my loved one's care team
Telling your loved one it is recommended they remain at Pleasant View and not return home or to previous living environment
Understanding common psychotropic medications
Q&A with Pleasant View administration and CEO
Resident rights
COVID-19 information
Communication
Other
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